Term Date: 12/31/2025
Access client website for possible features such as benefits & eligibility and claims payment status.
tpa.pacificsource.com| For Benefits, Eligibility or Claims Status call: | PacificSource | 855-896-5208 |
| For Medical/Utilization Management service, call: | Call Center | 888-977-9299 |
| Submit Claims To: | PACIFICSOURCE HEALTH PLANS |
| DRG Contracted Hospitals: | First Choice Health Network |
Service Area Definition:
Washington (excluding Pacific, Wahkiakum, Cowlitz, Clark, Skamania, and Klickitat Counties).
| Group Name | Group Number |
|---|---|
| STRUCTURES NORTHWEST LLC | G0045648 |
| STUBBLEFIELD ENTERPRISES INC | G0031976 |
| STUDIO H DESIGN INC NFIB | G0035277 |
| STUDIO ROVER LLC | G0044254 |
| STUNZ FONDA KIYUNA AND HORTON LLP | G0010691 |
| SUBIETECH HEADQUARTERS LLC | G0044275 |
| SUBLIME PUBLIC RELATIONS | G0038296 |
| SUBN DOOR CO INC NWPT MILL | G0030915 |
| SUBURBAN ACE HARDWARE INC | G0032213 |
| SUBWAY OF HAVRE 4151 | G0034096 |
| SUE ELLEN BRIDGMAN FLORIST INC | G0042450 |
| SUE ELLEN BRIDGMAN FLORIST INC | G0045464 |
| SUGAR SALEM SCHOOL DISTRICT 322 | G0043928 |
| SULLIVAN FINANCIAL GROUP INC | G0042068 |
| SULLIVAN WAGNER & LYONS PLLC | G0042620 |
| SUMMIT AG APPRAISAL INC | G0044027 |
| SUMMIT AIR HEATING AND COOLING | G0042847 |
| SUMMIT BANK | G0045674 |
| SUMMIT CHIROPRACTIC PC | G0045824 |
| SUMMIT CHIROPRACTIC PC NFIB | G0034599 |